TES Form - Annex 3

REPUBLIC OF THE PHILIPPINES

CITY OF MATI S.S.

LETTER OF INTENT TO AVAIL TES-3B

MARICAR R. CASQUEJO, PhD, CESO III

Director IV
Commission on Higher Education Regional Office XI
Loyola ST., Obrero, Davao City

I, CHERYL JEAN M. CALIG-ONAN, a graduate of BACHELOR OF SECONDARY

EDUCATION MAJOR IN MATHEMATICS of DAVAO ORIENTAL STATE UNIVERSITY in
ACADEMIC YEAR 2021-2022, hereby signify my intent to be reimbursed of the following expenses
for obtaining my first professional credentials or qualifications through TES-3B:
ITEM EXPENSE AMOUNT REMARKS
PRC Examination Fee 900.00
(for payment of application of
examination fee)
Notary public fee
(for notarial fee expenses)
Review Center fee 9,900.00
(payment for review center)
Insurance company (payment for
insurance premium fee)
HEI, PSA, BIR, NBI or transcript of 160.00
records, birth and (if applicable)
marriage certificates, documentary
stamps, NBI clearance and certificate of
good moral character
Other fees (as payment for entities or
institutions for the necessary expenses)
TOTAL 10, 960.00

Attached to this letter are the supporting documents required by Memorandum Circular No.
01 Series of 2022 or the Amended TES Guidelines of 2022.

Signed on the date and at the place indicated below.

CHERYL JEAN M. CALIG-ONAN

ID: PhilHealth ID
Issued on: February 22, 2022
Issued at: City of Mati, Davao Oriental

SUBSCRIBED AND SWORN before me this ____________ at _______________, Philippines,

who exhibited his/her ____________________ issued at ________________ on _____________.
Doc. No. ___
Page No. ___
Book No. ___
Series of ___
 TES Form - Annex 3

REPUBLIC OF THE PHILIPPINES

CITY OF MATI S.S.

LETTER OF INTENT TO AVAIL TES-3B

MARICAR R. CASQUEJO, PhD, CESO III

SAMPLE
Director IV
Commission on Higher Education Regional Office XI
Loyola ST., Obrero, Davao City

I, BABY GIE U. TAUSA, a graduate of BACHELOR OF SECONDARY EDUCATION

MAJOR IN MATHEMATICS of DAVAO ORIENTAL STATE UNIVERSITY in ACADEMIC YEAR
2021-2022, hereby signify my intent to be reimbursed of the following expenses for obtaining my first
professional credentials or qualifications through TES-3B:
ITEM EXPENSE AMOUNT REMARKS
PRC Examination Fee 900.00
(for payment of application of
examination fee)
Notary public fee -
(for notarial fee expenses)
Review Center fee 9,900.00
(payment for review center)

Insurance company (payment for -

insurance premium fee)
HEI, PSA, BIR, NBI or transcript of 160.00
records, birth and (if applicable)
marriage certificates, documentary
stamps, NBI clearance and certificate of
good moral character
Other fees (as payment for entities or -
institutions for the necessary expenses)
TOTAL 10,000.00

Attached to this letter are the supporting documents required by Memorandum Circular No.
01 Series of 2022 or the Amended TES Guidelines of 2022.

Signed on the date and at the place indicated below.

BABY GIE U. TAUSA

ID: PhilHealth ID
Issued on: February 22, 2022
 Issued at: City of Mati, Davao Oriental

SUBSCRIBED AND SWORN before me this___________ at _______________, Philippines, who

exhibited his/her ____________________ issued at ________________ on _____________.
Doc. No. ___
Page No. ___
Book No. ___
Series of ___

https://tinyurl.com/LetterOfIntentTES3Bc